Individual provider Active NPI

Kaushiki Kapoor, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton Junction, NJ
National Provider Identifier
1659978690
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01198700 Issued in NJ
Practice address
295 Princeton Hightstown Rd # 11-163
Princeton Junction, NJ 08550-3123
Phone
(609) 285-3805
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403609 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01198700 NJ Primary

Addresses

Primary practice location

295 Princeton Hightstown Rd # 11-163
Princeton Junction, NJ 08550-3123

Mailing address

PO Box 890
Princeton Junction, NJ 08550-0890
Phone (551) 579-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210908001213 NY Practitioner - Nurse Practitioner 0244636884 Reassigns benefits to 1 organization
I20210924001737 NJ Practitioner - Nurse Practitioner 0244636884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Princeton JCT, NJ 08550
Phone (609) 285-3805

352 7TH Ave
FL 12a
New York, NY 10001-5893
Phone (646) 397-1787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01198700NJMDPsychiatric/Mental Health Nurse Practitioner
403609NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kapoor Cares LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

295 Princeton Hightstown Rd
#11163
Princeton Junction, NJ 08550
Phone (609) 285-3805

295 Princeton Hightstown Rd
West Windsor, NJ 08550
Phone (609) 275-0019

352 7th Ave
Fl 12A
New York, NY 10001
Phone (212) 547-9853

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1659978690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085500890",
            "telephone_number": "551-579-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PRINCETON HIGHTSTOWN RD # 11-163",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503123",
            "telephone_number": "609-285-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "KAUSHIKI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403609",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01198700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.